Physical Diagnosis Flashcards
Sterile gloves should be worn when there may be a source of ________
infection
Two traditions in Medicine
Bare hands and catering to the right side
Plexor
hammer (tip of long finger)
Pleximeter
“nail” DIP of contralateral long finger
Most accurate temp measurement
Rectal
Tachypnea
RR >20/min
Bradypnea
RR
Cheyne-Stokes respirations
Periodic breathing, periods of apnea, end stage of sleep apnea
Kussmaul respirations
Deep, labored, rapid. Associated with metabolic acidosis
Tachycardia
> 100, 90-99 is considered elevated
Bradycardia
Less than 60bpm
Systole
ventricles at max contraction
Diastole
ventricles at max relaxation
Systolic pressure
max pressure on artery during LV contract
Diastolic pressure
pressure exerted by blood consistenly between each contraction
Korotkoff sounds
low-pitched sounds produced by turbulence of blood flow in artery
BP is dependent on which three factors
Stroke volume, heart rate, and peripheral vascular resistance
New patients should get BP taken in _____ arms
both
Orthostatic BP: Drop in SBP > ___ mm Hg or increase in HR> 20bpm suggests volume depletion
> 10 mmHg; >20bpm
Four blunt percussion spots
Spleep, kidney, liver, sinuses
Which exam technique should be performed last?
auscultation (exept abd. Exam)
Bruit
turbulent noise in vessel
Low pitched sounds heard best with _____
bell
High pitched sounds heard best with _____
diaphragm
One of the most important rapid assessments?
Level of Toxicity // how sick are they?
Dullness
percussion over solid organs
Resonance
big sound from air filled spaces
Hyperresonance
Large sound due to excess air in lungs // Asthma, COPD
Tympany
Drum like sound when you tap over the belly // fluid and air
Purpose of blunt percussion
Elicit pain, not identify sounds // AKA direct percussion
